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E~ <br />M <br />CERTIFICATE OF INSURANCE III IIIIII~IIIIIIIII ISSUEDAT <br />AI:111:11 <br />. 6 <br />4 <br />1/92 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 7HIS CERTIFICATE <br />C <br />- DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BV THE <br />O1 <br />p <br />Van G i Lder Insurance POLICIES BELOW. <br />700 Broadway, Suite 1035 <br />Ilenver, CO 80203 COMPANIES AFFORDING COVERAGE <br /> <br />343-837-8500 COMPANY <br />LETTER A Employer•~s Mutual Casualty Co <br />INSURED LETTER V B <br />Crum ~ Forster Ins. Co. <br />FLa'tiron Companies <br />F'. (]• BOX 229 LErTERY C <br />Boulder <br /> COMPANY <br />D <br /> LETTER <br />CO 84306 <br /> COMPANY <br />LETTER E mtrib <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE <br />ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE PODCV E%PIRATION LIMITS <br />DATE IMM/OD/YVI DATE (MM/OD/YVI <br /> <br />- <br />Jl <br />~^ $ ~4~4V <br />GENERAL LIABILITY GENERAL AGGREGATE <br />A X COMMERCIAL GENERAL LIABILITY UX4894293 6/01 /92 6/41 /93 PRODUCTS-COMP/OP AGG. S ? ~ 444, 444 <br />CLAIMS MADE X OCCUR. PERSONAL 8 ADV. INJURY E 1 , 444, 444 <br />OWNER'S d CONTRACTOR'S PROT. EACH OCCURRENCE E 1 , 444 , 404 <br /> FIRE DAMAGE IAny one lire) E 54, 444 <br /> MED E%PENSE IAny ore person) E 5 > 444 <br />` • ~_-^- <br />- i <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />$ <br />A X ANVAUro 0X4894293 1,000,004 <br />6/01/9'2. 6/01/93 uMlr <br />ALL OWNED AUTOS <br />BODILY INJURY E <br />SCHEDULED AUTOS (Por Oersonl <br />X HIRED AUTOS <br />BODILY INURY S <br />X NON-OWNED AUTOS (Per accdenll <br />GARAGE LIABILITY <br /> PROPERTY DAMAGE E <br /> <br />"- `. <br />T -5~ <br />14 <br />444 <br />L~~ <br />+- <br />`-` J~_'-" <br />E%CESS LIABILITY EACH OCCURFENGE <br />E <br />1 <br />, <br />B UMBRELLA FORM AGGREGATE ~o,000,040 <br />X OTHER THANUMBRELIAFORM 522075 <br />3678 6/01/92 6/01/93 _ <br />- <br />_ <br />~,--. -~ - STATUTORY LIMITS <br />-_ <br />WORKER'S COMPENSATION - - <br /> EACH ACCIDENT $ <br />AND <br />DISEASE-POLICY LIMIT E <br />EMPLOYERS' LIABILITr <br /> DISEASE-EACH EMPLOYEE $ <br />~- <br />OTHER <br /> <br />ytl • ~ <br />`(. <br />~~ eI <br />1I ' <br />LL LL <br />ll <br />~~~ <br /> <br />r~ <br />rl <br />~ f~ <br />_-- <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ~^' ~ ~ ~^~~ <br />IY {~ <br />kF_t Bourg Mine <br /> dined Land <br />CERTIFICATE HOLDER CANCELLATION -''~7 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />S td to Mined Land F;ec L dma t 1 O n MAIL 34 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />1313 5herma n JtreC t LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />Ilenver , CO BO2O3 LIABILITY OF ANV KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRE$ENTA 030321000 <br />' <br />ACORD 25-S (7/90) RD CORPORATION 1990 <br />